Individual provider Active NPI

Mohamed Anwar Abdus Samad, MD

  • Nephrology Physician
  • York, PA
National Provider Identifier
1285983684
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD460130 Issued in PA
Practice address
292 Saint Charles Way
York, PA 17402-4648
Phone
(717) 851-6040
Fax
(717) 461-7122
NPI assigned
Aug 31, 2012
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD460130 PA Primary

Addresses

Primary practice location

292 Saint Charles Way
York, PA 17402-4648

Mailing address

64 S. West St
Carlisle, PA 17013
Phone (717) 245-2291

Other practice location 1

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5000

Other practice location 2

112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 217-4300

Other practice location 3

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-4000

Other identifiers 2

IdentifierTypeStateIssuer
1285983684OtherNPI
103453479MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170929001097 PA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Hospitalist 4789975335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Hospitalist, Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

1001 S George St
York, PA 17403-3676

1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465

1695 Roosevelt Ave
Suite B
York, PA 17408-8521
Phone (717) 851-5503

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

292 Saint Charles Way
York, PA 17402-4648
Phone (717) 851-6040

296 St Charles Way
York, PA 17402-4648

302 Saint Charles Way
York, PA 17402-4647
Phone (717) 812-5050

37 Monument Rd
Suite 101
York, PA 17403-5023
Phone (717) 851-6454

370 St Charles Way
Wellspan Internal Medicine
York, PA 17402-4647
Phone (717) 741-8003

380 St Charles Way
Nephrology
York, PA 17402-4647
Phone (717) 851-6040

55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD460130PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evangelical Medical Services Organization CurrentSince Dec 18, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Sep 8, 2020 Accepting new patients
Evangelical Medical Services Organization Nephrology CurrentSince Dec 18, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Sep 8, 2020 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Wellspan Medical Group Nephrology Past Accepting new patients

Locations

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

601 E Main St
Fl 3
Waynesboro, PA 17268
Phone (717) 765-5060

1001 S George St
York, PA 17403
Phone (717) 812-7687

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

292 Saint Charles Way
York, PA 17402
Phone (717) 851-6231

380 Saint Charles Way
York, PA 17402
Phone (717) 851-6040

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: msamad248083@wellspan.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1285983684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 S. WEST ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "17013",
            "telephone_number": "717-245-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 SAINT CHARLES WAY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024648",
            "telephone_number": "717-851-6040",
            "fax_number": "717-461-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-971-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-217-4300",
            "fax_number": "717-217-4217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-4000",
            "fax_number": "717-765-3669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDUS SAMAD",
        "first_name": "MOHAMED ANWAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD460130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285983684",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103453479",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.